JEFFREY LEE SCOTT (NPI# 1811964570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811964570 |
Entity Type | Individual |
Full Name | JEFFREY LEE SCOTT |
Credential | D.O. |
Practice Address |
3025 W Cherry Lane Ste B Meridian ID 83642-8531 |
Mailing Address |
3340 E Goldtone Way Meridian ID 83642-1026 |
Practice Telephone | 2083026400 |
Practice Fax Number | 2083026455 |
Mailing Telephone | 2083026400 |
Mailing Fax Number | 2083026455 |
Enumeration Date | 2006-03-02 |
Last Update Date | 2016-11-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | O-0836 | ID | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 20A10318 | CA | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | DO23306 | OR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457898082 | Jeffrey Ewell Scott | Speech-Language Pathologist | 435 Broad Street, Grove City, PA 16127 | 2017-01-20 |
1265977300 | Jeffrey Wayne Scott | Nurse Practitioner | 1001 Oakwood Rd, Orange City, FL 32763-5025 | 2016-12-28 |
1568813434 | Jeffrey Scott | Optometrist | 820 E Terra Cotta Ave Ste 256, Crystal Lake, IL 60014-3655 | 2016-06-22 |
1629483037 | Jeffrey Bryan Scott | Behavioral Analyst | 338 Falling Ln, Virginia Beach, VA 23454-3969 | 2014-06-24 |
1174960306 | Jeffrey F. Scott | Dermatology | 601 N Caroline St # 8072, Baltimore, MD 21287-0006 | 2013-05-29 |
1710257084 | Jeffrey Craig Scott | Psychologist | Correctional Institute for Men Chino Ave, Chino, CA 91710 | 2012-01-04 |
1174716195 | Jeffrey R Scott | Student in an Organized Health Care Education/Training Program | 401 Paradise Rd Ste E, Modesto, CA 95351-3163 | 2007-08-22 |
1063534659 | Jeffrey L. Scott | Dentist | 4605a Nottingham Way, Hamilton, NJ 08690-3819 | 2007-04-04 |
1891897625 | Jeffrey L. Scott | Physician Assistant | 791 Fm 1103, Suite # 125, Cibolo, TX 78108 | 2006-09-02 |
1417970526 | Jeffrey A. Scott | Internal Medicine | 126 Union St Ofc 1, Marlborough, MA 01752-1207 | 2006-07-26 |
Street Address |
3025 W CHERRY LANE STE B |
City | MERIDIAN |
State | ID |
Zip Code | 83642-8531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124092101 | Albert Donald Bickford | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642-1026 | 2006-02-15 |
1639680051 | Chad Dennis Talford | Physician Assistant | 3025 W Cherry Lane, Meridian, ID 83642 | 2017-10-12 |
1326590498 | Katrina Merrell | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2016-10-25 |
1710438874 | Carin Bohan | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2016-10-24 |
1366993883 | Nathan James Richard | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2016-10-19 |
1629446661 | Lori Katherine Ebinger | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2015-09-08 |
1033504147 | Aaron Dunham | Psychiatry & Neurology | 3025 W Cherry Lane, Ste 204, Meridian, ID 83642 | 2015-04-06 |
1508142613 | Kristina Huffaker | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2011-11-02 |
1629201249 | Cory M Martin | Physician Assistant | 3025 W Cherry Lane, Ste B, Meridian, ID 83642 | 2009-08-30 |
1659504314 | Mark B Cheney | Family Medicine | 3025 W Cherry Lane, Meridian, ID 83642 | 2009-08-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
1023506466 | Vast Durable Medical Equipment Inc | Family Medicine | 2985 S Meridian Rd Ste 140, Meridian, ID 83642-7961 | 2018-04-30 |
1235651498 | Carmeshia M Cain | Family Medicine | 1312 22nd Ave Ste A, Meridian, MS 39301-4015 | 2017-07-10 |
1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
1619397064 | Sara Jane Aney | Family Medicine | 4949 S Hillsdale Ave, Meridian, ID 83642-7586 | 2014-04-24 |
1033534276 | Alliance Medical Group, LLC | Family Medicine | 1623 South Wells Avenue, Meridian, ID 83642 | 2014-02-25 |
1275979346 | Matthew Robert Sara | Family Medicine | 1648 Nw 1st St, Meridian, ID 83642-2212 | 2013-05-16 |
1093074577 | Marisa A Battaglia | Family Medicine | 1623 Wells Ave, Meridian, ID 83642-5040 | 2012-05-03 |
1891051942 | Louise Xian Ye-liew | Family Medicine | 2965 East Tarpon, Suite 150, Meridian, ID 83642 | 2012-04-03 |
1912221318 | Unity Health Center Pllc | Family Medicine | 1130 E Fairview Ave, Meridian, ID 83642-1813 | 2010-03-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.